Provider Demographics
NPI:1467735134
Name:KRUPNIK, KAREN M (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:KRUPNIK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 EAST AVE.
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851
Mailing Address - Country:US
Mailing Address - Phone:203-750-9711
Mailing Address - Fax:203-750-9651
Practice Address - Street 1:120 EAST AVE.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-750-9711
Practice Address - Fax:203-750-9651
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004040655Medicaid